Job Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
We are seeking a Business Analysis Manager to join Optum Rx. In this internal-facing leadership role, you will manage a team of 5 professionals responsible for reviewing, analyzing, and validating data impacting members, clients, OptumRx, and/or business processes. You will collaborate closely with operational partners to ensure accuracy, timeliness, and efficiency in all deliverables.
This position requires exceptional organizational skills, solid analytical capabilities, and specialized knowledge of pharmacy benefits. As Manager, you will be accountable for maintaining high standards of precision in your team's work while driving process improvements and fostering a culture of continuous learning.
The ideal candidate will demonstrate excellent communication skills, a solid work ethic, and the ability to lead a team effectively under tight deadlines. Critical thinking, prioritization, and adaptability are essential for success.
**Primary Responsibilities:**
+ Lead and develop a team of 5 individuals performing detailed claim analysis and benefit setup research that impacts member payments
+ Review and validate team analyses for accuracy and completeness; perform analyses when necessary to meet deadlines.
+ Ensure timely and effective communication with key business partners and stakeholders.
+ Collaborate with client account teams and cross-functional departments to address business needs and resolve complex challenges.
+ Deliver clear explanations, interpretations, and actionable recommendations based on reporting results.
+ Drive process efficiencies and continuous improvement within the team.
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ 4+ years of progressive experience in Business or Report Analysis roles
+ 2+ years applying analytical and critical thinking skills in a professional setting
+ Advanced proficiency in Microsoft Excel (complex formulas, VLOOKUP, pivot tables, etc.).
+ Proven excellent communication, project management, organizational, and analytical skills
**Preferred Qualifications:**
+ Experience in people management
+ Financial, accounting, or remediation experience
+ SQL proficiency (tables, joins, query writing)
+ Experience with RxClaim
+ Knowledge of PBM and pharmacy benefit structures.
**Core Competencies:**
+ Ability to manage teams effectively, ensuring prioritization and accuracy.
+ Solid attention to detail, particularly in data accuracy and presentation.
+ Resilience under pressure and commitment to deadlines.Proactive problem-solving and adaptability to new challenges.
+ Solid organizational skills for tracking requests and deliverables.
+ Excellent communication skills for engaging with team members, leadership, and business partners
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
\#njp
We are seeking a Business Analysis Manager to join Optum Rx. In this internal-facing leadership role, you will manage a team of 5 professionals responsible for reviewing, analyzing, and validating data impacting members, clients, OptumRx, and/or business processes. You will collaborate closely with operational partners to ensure accuracy, timeliness, and efficiency in all deliverables.
This position requires exceptional organizational skills, solid analytical capabilities, and specialized knowledge of pharmacy benefits. As Manager, you will be accountable for maintaining high standards of precision in your team's work while driving process improvements and fostering a culture of continuous learning.
The ideal candidate will demonstrate excellent communication skills, a solid work ethic, and the ability to lead a team effectively under tight deadlines. Critical thinking, prioritization, and adaptability are essential for success.
**Primary Responsibilities:**
+ Lead and develop a team of 5 individuals performing detailed claim analysis and benefit setup research that impacts member payments
+ Review and validate team analyses for accuracy and completeness; perform analyses when necessary to meet deadlines.
+ Ensure timely and effective communication with key business partners and stakeholders.
+ Collaborate with client account teams and cross-functional departments to address business needs and resolve complex challenges.
+ Deliver clear explanations, interpretations, and actionable recommendations based on reporting results.
+ Drive process efficiencies and continuous improvement within the team.
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ 4+ years of progressive experience in Business or Report Analysis roles
+ 2+ years applying analytical and critical thinking skills in a professional setting
+ Advanced proficiency in Microsoft Excel (complex formulas, VLOOKUP, pivot tables, etc.).
+ Proven excellent communication, project management, organizational, and analytical skills
**Preferred Qualifications:**
+ Experience in people management
+ Financial, accounting, or remediation experience
+ SQL proficiency (tables, joins, query writing)
+ Experience with RxClaim
+ Knowledge of PBM and pharmacy benefit structures.
**Core Competencies:**
+ Ability to manage teams effectively, ensuring prioritization and accuracy.
+ Solid attention to detail, particularly in data accuracy and presentation.
+ Resilience under pressure and commitment to deadlines.Proactive problem-solving and adaptability to new challenges.
+ Solid organizational skills for tracking requests and deliverables.
+ Excellent communication skills for engaging with team members, leadership, and business partners
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
\#njp
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